超声对黄疸原因诊断价值初步探讨  

Jaundice:a preliminary study with the ultrasound

作　　者：陈湘[1] 孙健[1] 刘海平[1] 罗伟权[1] 

机构地区：[1]广州中医药大学附属中山中医院,528400

出　　处：《影像诊断与介入放射学》2006年第2期65-67,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨超声对黄疸原因的诊断价值。方法对116例黄疸患者的声像图改变与最后确诊的黄疸原因进行对照分析。结果116例中,肝细胞性黄疸27例,阻塞性黄疸89例,阻塞性黄疸病例超声定位诊断符合率94.2%,定性诊断符合率87.6%,误诊8例。结论超声检查能够确定是否阻塞性黄疸,准确判断梗阻部位,多数能对梗阻原因做出诊断。提高对胰头部炎性肿块、胆总管炎性狭窄等良性病变声像图表现的认识,有助于提高诊断准确性。Objective To evaluate the ultrasound in imaging diagnosis of jaundice. Methods The changes of ultrasonography of 116 patients with jaundice were correlatively studied with the final diagnosis. Results Hepatocellular jaundice was found in 27 cases out of 116; and obstructive jaundice was revealed in other 89 cases. The level of obstruction was correctly assessed by ultrasound in 94. 2 % of the patients. The primary lesion was successfully identified by ultrasound in 87. 6 % cases of obstructive jaundice. Misdiagnosis was made in 8 cases. Conclusion Ultrasonography can confirm the obstructive jaundice. The level of obstruction can be precisely located and the primary lesions can be correctly identified in most. cases. Better understanding the sonographic characteristics of benign disorder such as inflammatory mass of caput of pancreas and inflammatory stricture of common bile duct results in a higher diagnostic accuracy.

关 键 词：超声检查 黄疸 

分 类 号：R445.1[医药卫生—影像医学与核医学]